HomeMy WebLinkAboutMechanical Permit #01-1181
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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Date Rec'd
1. Pink File PERMIT NO
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(Please type or print and sign at bottom)
ADDRESS
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!"ZONING (office use)
, RJ5f)
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCK ADDITION -::J-ri;M/~ 6a~ ./'
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OWNER ""\)
(Name) ~\ \\ ~ ~ b~'
(Address) ~ e~ (S\~
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(Phone~q8 ''&- '-}-")-<.o-~"l~;\o
~~;~~ANT ~CU\-\-r'-"-V- \'\~,,~ \\ ~~ _ (Phone) ~~S ''&- \....\ \...\S" - \ q ~\:::;
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(Address) (City) (Zip Code)
(Contact Person) '-.. r~\ovy . \:- \ (phone) ~ q~ ~ - ~ ~- \ q ~ ~
APPLICANT SIGNATURE ~A~ '\~ DATE \ b -Sj>- ~ .... \
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(Address)
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRU~TION '"EJ. ~PLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL \~~~ \ \..J..-C)C::::,~ ~ FUEL ~ ~
FLUE SIZE RETURN OPENINGS INPUT ~ ~ OUTPUT Y ~ 1 (~)
TYPE OF SYSTEM
~ Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATINGORPO~RPLANT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
~9.~Q -:>
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ c39\CS-O
$ .50
$ <-/D. 60
,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid .. dO
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Date lev 19-0 1
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTI;CE
SCHEDULED
ADDRESS
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5v~~J- 1V(
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE TIME
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r F I
,- ( \.R
-
FWORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT Tf'1ALL ~~~SPECTION BEFORE COVERING
Inspector: ' ,/ Co Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!